10A NCAC 09 .0601 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0601 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0701 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 15 Completed Date: 10/22/2025 Age: From 4 To 4 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 10/21/2025. The program is operated by Avery County Schools and is located in Freedom Trail Elementary School. Permit type – Five Star Rated License issued 2/14/2020. Special Services/Restrictions – daytime care only, meeting reduced ratios, meets enhanced space. Approved for NC Pre-kindergarten services. The last annual compliance visit was conducted on 11/15/2024. The last fire drill was practiced on 9/28/2025. The last shelter-in-place drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. The last playground inspection was documented on 9/22/2025. The last fire inspection was approved on 8/27/2025. The last sanitation inspection was conducted on 2/6/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 7/30/2025 with hazards. Lead paint and asbestos testing was completed on 9/2/2025 per documentation on file during the visit. The facility was exempt from lead paint and asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program uses public school buses. Upon arrival, I checked in at the front office and was directed to the cafeteria. When I arrived in the cafeteria, the group had not arrived. I then walked to the classroom to find the group of four-year-old children lining up to prepare to transition to the restroom. I walked with the group to the restrooms outside of the cafeteria, there the children used the restroom and washed hands prior to lunch. After all the children used the restroom and washed their hands, the group transitioned to the cafeteria. All children are served a school provided lunch and those who choose not eat the school provided lunch has a meal packed from home. The staff were observed assisting the children with opening their lunch items as needed. When all children were assisted, the staff sat with the children to eat lunch and engage in conversations with the children. Emily Dellinger, Principal arrived to assist with a student at 10:45a. Lunch consisted of pancakes, sausage, baked apples, tater tots, and milk. THe menu documented breakfast for lunch, grilled cheese, baked apples, tater tots, veggie juice box, fruit punch, and milk. We discussed when the menu states breakfast for lunch, the staff will need to document the specific items that were served to the children. After lunch, the children transitioned back to the classroom. The children put away their lunch boxes, lined up to wash hands, and go to the carpet for group time. During group time, the group engaged in music and movement, and a literacy activity. While monitoring the indoor environment, I observed one (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. When group time concluded, the children were dismissed one at a time to get their nap items, put them on their cots, and line up to go outside for gross motor play. While monitoring the outdoor space, I did observe the facility had received new mulch meeting the surface requirements. One (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. Staff files were monitored for compliance. While monitoring, I observed one (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. For substitutes, I recommend that you keep a substitute log to list the date each staff member subs in the classroom. Currently, the Ms. Turner reported that the class has only had one (1) substitute sub for one (1) day so far this school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facilities NC Pre-K Site Monitoring Tool is due to be submitted to the local Contract Administrator by October 31st. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:50 p.m QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s discussion, the facility has chosen to pursue Pathway #2: Classroom and Instructional Quality Pathway. This decision is made with the understanding that the Environment Rating Scale (ECERS-3) will be conducted to fulfill the North Carolina Prekindergarten (NC Pre-K) program requirements. We reviewed Pathway #2 Classroom and Instructional Quality Pathway and requirements for five (5) star. We discussed the facility will need to purchase ECERS-3 assessment book, train all relevant staff on ECERS-3, and review coaching and training options for administrators and lead teachers. The facility plans to apply for a rated license prior to or during the next six (6) month visit. Ms. Turner requests that the environment rating scale be conducted prior to the end of this school year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. One (1) adult screwdriver in an unlocked drawer near the classroom sink. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 721- While monitoring outdoors, one (1) green wagon was observed with a broken seat with sharp edges. We discussed that the green wagon would need to be removed from play to ensure a child is not injured. The teacher corrected this during the visit. Rule Reference: 10A NCAC 09 .0601(b) Item 807- One (1) adult screwdriver in an unlocked drawer near the classroom sink. We discussed that any adult tools must be stored in locked drawer or cabinet at all times when not in use. The teacher moved the screwdriver to the locked cabinet near the classroom door. Rule Reference: 10A NCAC 09.0601(a) Item 1035- One (1) staff member hired 1/1/2000 emergency information was not updated annually. The emergency information form on file was dated 8/7/2024. We discussed that the staff member would need to review and update the emergency information annually. Rule Reference: 10A NCAC 09.0701(a) Item 1811- The last emergency drill was practiced on 4/16/2025. This was prior to school closure for the summer. The facility has not conducted an emergency drill since re-opening for the new school year August 20, 2025. We discussed that an emergency drill needs to be conducted upon re-opening each school year in August and every three (3) months thereafter. Rule Reference: 10A NCAC 09.0604(u) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders- Staff member hired 1/1/2000 criminal background check qualifying letter is due to be renewed on or before 1/15/2026. For substitute staff prior to substituting in the class, the staff will need to complete the annual review of the required paperwork. We discussed during lunch all milk cartons will need to remain open till lunch has concluded or the child chooses to close the milk carton. By leaving the milk carton open to show that the fluid milk component was offered should the child choose to drink the milk. ABCMS portal: The program needs to continue to work on adding the staff to the program roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0605 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1103 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2025 Number Present: 15 Completed Date: 5/2/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher during the visit. A signed copy of the visit summary was left on-site with you. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Caroline Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/15/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The last fire drill was practiced on 4/29/2025. The last emergency drill, lockdown drill, was practiced on 4/16/2025. The last fire inspection was approved on 9/12/2024. The program’s most recent sanitation inspection was completed on 2/6/2025 with two (2) demerits for a superior classification. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. Upon arrival, the group of four- to five-year-olds were engaged in free play with blocks, manipulatives, dramatic play, and Ipads. After free play, the children cleaned up to prepare to transition to lunch. The children lined up and walked to the restrooms near the cafeteria. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. Once they arrived at the restroom, the children used the restroom and washed hands, and staff washed their hands prior to entering the cafeteria. In the cafeteria, the children walked through the lunch line and were given their tray. The white board posted in the cafeteria showed lunch today was hamburger, French fries, strawberries and milk. Lunch served aligned with the posted menu. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to group time for music with the lead teacher. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. As the group was at group time, the teaching assistant was putting out the cots. At 11:38a, Ms. Dellinger the school principal arrived in the classroom. Upon arrival, she washed her hands and observed in the classroom. The children lined up to go outside at 11:45a. When all the children were in line the class transitioned outdoors for gross motor play. At 11:50a, the children engaged in play with the trikes, balls, ABC steppers, climbers, and the Little Tikes Cottage. While outside, the school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. .0605(k)(1-4) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. .1103(b) Technical Assistance for Correction Plan: Item 812 Along the route to the cafeteria downstairs, I observed two (2) electrical outlets uncovered near the office, one (1) electrical outlet on the wall where the girls lined up to use the restroom, one (1) electrical outlet uncovered between the two (2) gym doors, and one (1) electrical outlet uncovered behind the TV outside of the cafeteria door. We discussed carrying extra safety outlet plugs with you and plugging any uncovered outlets along the way. You can also speak with the school principal to ask the custodians to remember to put the safety outlet cover back in the outlet when they have finished using the electrical outlet. Rule Reference: 10A NCAC 09.0604(c) Item 840 While monitoring the indoor space, I observed one (1) aerosol can of secret deodorant in the unlocked storage cabinet behind the door. One (1) gallon of Lite ‘n Foamy hand soap was stored unlocked on a shelf in the restroom. We discussed that any bulk items or items that are in an aerosol can must be locked at all times. When conducting a classroom check, ensure that all hazardous materials are stored appropriately. Rule Reference: 15A NCAC 18A.2820(b) Item 1867 While outside, I measured the mulch in the fall zones, slide exits, entrances to the climber, and near the exterior barrier. The mulch measured four (4) inches in the fall zones, and three (3) to four (4) at the slide exits. The mulch was wet, and the measuring tool was able to go further down in other areas but the mulch mostly consisted of dirt from where the mulch has disintegrated or washed away. The school principal, lead teacher, and I spoke about the mulch being compacted and low. We discussed that more mulch is needed. Rule Reference: 10A NCAC 09.0605(k)(1-4) Item 1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. While following up on health and safety trainings that were due during the spring of 2025, I observed that staff member CT and AB health and safety trainings were not completed within five (5) years of the previously completed health and safety trainings. Staff member CT had only completed the school required Vector trainings, but not the online health and safety trainings in Moodle. Staff member AB had completed all but three (3) training topics. Staff member AB will need to complete Administration of medication, Prevention of Shaken Baby Syndrome and Abusive Head Trauma, and Recognizing and reporting child abuse and neglect. We discussed documenting renewal date for trainings on your calendar as a reminder to ensure that all trainings are completed within five (5) years of the previously completed training topic. Rule Reference: 10A NCAC 09.1103(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if you mail the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure the receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed that a new superintendent would be named next week. I stated that an updated application will be needed to document the change. Reminder -First Aid and CPR training is due by 6/2025 for staff member CT and AB. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0607 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2204 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/13/2024 Number Present: 17 Completed Date: 5/13/2024 Age: From 3 To 5 Total Minutes: 97 Time In: 11:23 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to verify correction of violations documented during the unannounced routine unannounced visit on 4/25/2024. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Caroline Turner, Lead Teacher, during the visit. A computer-generated copy of the visit summary was left on-site with you. Caroline Turner, Lead Teacher, was available during the visit. Upon arrival, the group of three- to five-year-old children were engaged in group time with the lead teacher. The other staff member was working one on one with a child to assist with behavior management. After group time, the children were called one at a time to line up to prepare to go outside for gross motor play. The following violations documented during the 4/25/2024 visit was monitored for compliance during this visit: Item #1041 – Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. Item #1043- All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. – R. Gordon file is created but on-site documents have not been completed. When I asked the lead teacher about the file, she stated that Ms. Gordon is working on the middle school side today and will get her to complete the documents during nap time today. The student intern is no longer at the facility. Item #1757- A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. – R. Gordon valid qualifying letter is now on file. R. Sharpe was a student intern and her time at the program has ended. R. Sharpe no longer works at the program. As stated in the 4/25/2024 visit summary, all violations must be corrected immediately. At the time of today’s visit, a compliance letter was received on 5/9/2024 with an extension request for items #1041, #1043, and #1757. An extension request was submitted on 5/10/2024 and the request was unable to be approved. The facility remains out of compliance with General Statute 110-91 (9) by failure to maintain staff records. Today, I verified correction of two (2) of the three (3) violations. Continued noncompliance may result in an administrative action per Child Care Rule 10A NCAC 09 .2204(6). The following violations were documented today and included one (1) of repeated violations as reflected in the violation customization. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. 10A NCAC 09 .0802(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. .0608(d)(1-4) Technical assistance was provided as follows: Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member hired 3/20/2024 did not review the Emergency Medical Care plan and have completed documentation on file for review. The on-site document was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member hired 3/20/2024 did not have a completed Emergency Information form on file on or before the first day of work. The document in the staff members file was blank. REPEAT VIOLATION. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Item # 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) All substitutes and volunteers counted in ratio shall be informed of the child care center's Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files or in a file designated for emergency preparedness and response plan documents. - Staff member hired 3/20/2024 did not review the Emergency Preparedness and Response (EPR) plan and have completed documentation on file for review. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. Item #1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. - Staff member hired 3/20/2024 did not review the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The on-site documentation was blank. I recommend conducting substitute training during the summer of the most frequently used substitutes to have them complete the required documents and trainings prior to the new school year to avoid any reoccurrences. You can also develop a substitute file with all documents required on the first day of work for the substitute to complete the first day working in the classroom. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/27/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: - Staff member hired 3/20/2024 First Aid and CPR training, along with Recognizing and Responding to Suspicions of Child Maltreatment training is due by 6/18/2024. - We discussed how to prevent reoccurrences in the future. I suggest conducting a substitute training for frequently used substitutes to complete required documents and trainings. Also, we discussed creating a substitute folder to have on site with a blank copy of the required documents needed the first day of work. - An administrative action may be taken. We discussed the severity of different types of actions. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/25/2024 Number Present: 16 Completed Date: 4/25/2024 Age: From 3 To 5 Total Minutes: 220 Time In: 10:00 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your facility for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I checked in at the front office. I walked down to the classroom and was greeted by Carolina Turner, Lead Teacher. This program is operated by Avery County Schools and is located in Freedom Trail Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator, were on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/28/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, the children were engaged in a special group activity directed by a special guest. The lead teacher stated that the special lesson was centered around the character trait for the month. The guest was presenting a lesson on manners. The lead teacher stated that the assistant teacher had to leave for the day and currently had a student intern filling in until the substitute arrived. During the lesson, the lead teacher was working one on one with a child to assist with behavior management. The student intern was engaged at group time with the children. The administrator arrived in the classroom at 10:08am to touch base with the lead teacher regarding the substitute situation. After the special group lesson, the children transitioned back to centers to engage in free choice center play with blocks, matching game, free art, books and puppets, train, and linking color tiles. At 10:28am, the children began cleaning-up to line up and go to lunch. Once down at the cafeteria, the children lined up to use the restroom and wash their hands. The staff washed their hands prior to lunch. At lunch the children were served chicken nuggets, pinto beans, mashed potatoes, biscuit, blueberries, and milk. The menu posted in the classroom documented fish sticks, fries, baked beans, coleslaw, blueberries, and milk. The menu was updated by the lead teacher. After lunch the class transitioned back to the classroom to wash hands upon arrival and then transitioned to the carpet for group time with music and a phonics lesson. When group time concluded, the class lined up to transition outdoors for gross motor play with climbers, hula hoops, trikes, balls, and chalk. The last fire drill was practiced on 3/27/2024. Fire drill will need to be practiced by April 30, 2024. The last emergency drill, lockdown drill, was practiced on 4/11/2024. The last fire inspection was approved on 9/1/2023. The program’s most recent sanitation inspection was completed on 1/12/2023, with four (4) demerits. A current sanitation inspection has not been conducted. I have contacted Environmental Health to inquire about the delinquent inspection. I was told that Environmental Health has been short staffed and will get to them as quickly as possible. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. During the visit, I observed a student intern and a substitute providing care to the children enrolled. I asked the lead teacher about a file for the student intern and substitute. She stated that she was not aware of an on-site file. The only file the staff members had was located at the Board of Education office. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the student intern and substitute present during today’s visit. I reviewed the ABCMS online portal to see if the student intern and substitute had a current criminal background check qualifying letter on file. The student intern and substitute did not have a current criminal background check qualifying letter on file in the ABCMS portal. The facility currently has no medications on-site for the children enrolled. Transportation is provided and maintained by Avery County Schools. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. 10A NCAC 09 .0304(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. 10A NCAC 09 .0604(c) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members were hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Two (2) staff members hired on 4/25/2024 staff file was not on-site for review during the visit. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item #104 Center has not passed the required sanitation inspection and received an approved or superior rating. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. - The facilities last sanitation inspection was conducted on 1/12/2023. A current inspection has not been completed and is not on file for review. I suggest reaching out to Environmental Health at least two (2) months prior to the previous inspection date. Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - Uncovered electrical outlets were observed in the hallway to the left of the classroom door one (1) outlet was uncovered. Two (2) outlets were observed uncovered in the hallway on the way to the cafeteria beside the elevator before going downstairs. Downstairs prior to entering the cafeteria, there were six (6) uncovered outlets observed on a power strip located on the floor in front of the cafeteria underneath the TV. Two (2) uncovered outlets were observed between both gym doors. Two (2) uncovered outlets were observed underneath the bulletin board to the right of the girl’s bathroom door. I recommend carrying extra safety outlet plugs with you to cover any uncovered outlets or to conduct a classroom route check prior to the children’s arrival each day. Item #1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. - Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 health questionnaire form on file was dated 1/1/2023. I recommend having staff complete the health questionnaire form annually at the start of the school year or the first day of employment. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff members hired 1/1/2000 and 8/1/2005 emergency information form was not updated annually. Staff members hired 1/1/2000 and 8/1/2005 emergency information form on file was dated 1/1/2023. I recommend having staff complete the Emergency Information form annually at the start of the school year or the first day of employment. Item # 1041 Prior to employment a Criminal Background Check was not completed. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. (b1) The Department may prevent an individual from being a child care provider if the Department determines that the individual is a habitually excessive user of alcohol, illegally uses narcotic or other impairing drugs, or is mentally or emotionally impaired to an extent that may be injurious to children. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1043 All staff records, except financial records, were not made available for review. § 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. - Two (2) Staff members hired on 4/25/2024 staff file was not on-site for review during the visit. When asked about the staff members files, the lead teacher stated that the only file she was aware of was housed off-site at the Board of Education building. I monitored the licensing notebook to verify that the staff members did not have a file on-site. No staff file was available for review during the visit for the two (2) staff members hired 4/25/2024. I suggest creating each substitute that could potentially work in a licensed classroom a traveling file that house each of the required documents per the substitute checklist. Item #1757 A valid qualification letter was not on file and available for review at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. - Staff members R. Gordon and R. Sharpe hired 4/25/2024 did not have a criminal background check on file or in the ABCMS system. I suggest ensuring each staff member has completed the criminal background check process and provided you with a copy of their qualifying letter prior to caring for children. Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. The documented drills were dated 9/12/23, 1/25/2024 (4-month span), and 4/11/2024. I recommend pre-planning your emergency drills and documenting them on your calendar as a reminder to conduct the drill every three (3) months. Your next drill is due at the start of next school year by August 31, 2024. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/9/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Criminal Background Check qualification letters will expire for staff member hired 8/1/2005 on 8/23/2024, and staff member hired 8/1/2000 on 8/22/2024. - When menu substitutions occur, the menu needs to be updated prior to serving or as soon as you are aware of the change. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. The staff member hired 8/1/2000 is required to have a total of fifteen (15) clock hours of ongoing training. Currently the staff member has fourteen (14) clock hours and will need one (1) more hour by August 1, 2024. - Hand washing posters need to be posted at each sink the children use on a daily basis. This includes the hallway restroom sinks used by the children prior to entering the cafeteria. - Reiterate with staff to role model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. This includes tea or sodas. - Medial documents and health questionnaires should be kept in a separate confidential file. - Staff members hired 8/1/2005 and 8/1/2000 criminal background check qualifying letter will expire in August 2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2506 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: FREEDOM TRAIL PRE-KINDERGARTEN Facility ID: 06000033 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/28/2023 Number Present: 15 Completed Date: 11/28/2023 Age: From 3 To 5 Total Minutes: 220 Time In: 10:05 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and Caroline Turner, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and asked if the principal/administrator, Emily Dellinger was available. Mrs. Dellinger was conducting morning duties throughout the school. I walked to the classroom and was greeted by Caroline Turner, Lead Teacher at the classroom and explained the reason for today’s visit. Caroline Turner, Lead Teacher, and Emily Dellinger, Principal/Administrator was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 11/27/2023. This program is operated by Avery County Schools and is located in Freedom Elementary School, and currently operates with a Five (5) Star Rated License effective 2/14/2020. The permit restrictions were in compliance including first shift (daytime care), meets enhanced space, meets reduced staff/child ratios. This program is approved to provide NC Pre-K program and transportation. This facility serves children with special needs. The program does provide transportation and is maintained by Avery County Schools. The Public Schools Off-Site Verification form for Transportation Requirements was viewed and monitored for child care requirement. The last annual compliance visit was conducted on 1/10/2023. The last fire drill was practiced on 10/30/2023. The last lockdown drill was practiced on 9/12/2023. The last playground inspection was documented on 11/13/2023. The last fire inspection was approved on 9/1/2023. The last sanitation inspection was conducted on 1/12/2023 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plans was reviewed and updated on 8/15/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the children engaged in free choice center play with blocks, legos, reading, and dramatic play. The staff were actively supervising the children while engaging in activity with the children. After free choice center play, the children cleaned up, went to get their lunch bag out of their cubbies, and lined up to go to lunch. The class walked downstairs to the cafeteria. The children who brought lunch took their lunch bags to put on the table, while the others began using the restroom and washing their hands. When the children put their lunch bags on the table, they came back to restroom area to begin using the restroom and washing their hands. Once everyone washed their hands and lined up, the group transitioned to the cafeteria to get their trays and sit down at the table for lunch. After lunch, the children returned to the classroom to wash their hands and go to the carpet. When group time concluded on the carpet, the children transitioned back to free choice center play. Lunch today consisted of pork bbq sandwich, pintos, strawberries, mash potatoes, and milk. The menu posted did not match what was served, posted menu documented hamburger, tater tots, cole slaw, pintos, and mixed fruit. The teacher did update the menu to reflect the menu change. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 14, 2023. The classroom operates from 7:30 a.m. to 2:50 p.m. Parent conferences are held one (1) time per year. You stated that you use email and text to communicate with parents. In addition, a monthly newsletter is sent home to the parents which includes any information about any reminders. If anything needs to be communicated to the parents quickly regarding a need or the child’s day is communicated through in-person, text, and phone calls. You verified that you incorporate family engagement by providing a log of events that have occurred. During the visit, the Public School Off-Site Records Verification form for Staff records was viewed and on-site staff file requirements were monitored. Two (2) existing staff files were monitored during today’s visit. The Public Schools Off-Site Record Verification form for Children’s Records was viewed and on-site children’s file requirements were monitored. Two (2) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. 10A NCAC 09 .0604(c) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. Outside an adult rake was observed stored unlocked by the storage cabinet. .2506(c) Technical assistance was provided as follows: Item # 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In the cafeteria, there were two (2) uncovered outlets to the left of the window and to the right of the double doors near where the group ate lunch. I suggested to carry safety outlet plugs with you to cover uncovered electrical outlets when you see them. Item #1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (c) Potentially hazardous items, such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, shall be used by children only when adult supervision is provided. Such potentially hazardous items, whether or not intended for use by the children, shall be stored in locked areas or with other safeguards, or shall be removed from the premises. - Outside an adult rake was observed stored unlocked by the storage cabinet. I suggested to remove the rake from the outdoor space or store it in a locked cabinet when not in use. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/12/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - On going training hours for teacher assistants- Per NC Pre-K Requirements, teacher assistants must have fifteen (15) clock hours of on-going training yearly based on their employment date. - Teacher Assistant Education requirements- Per NC Pre-K Requirements, teacher assistants must have received a qualifying letter from our Workforce Education Unit certifying them as a Lead Teacher, may qualify to serve as an NC Pre- K Teacher Assistant. If a Teacher Assistant has at least 9 EC credit hours on their qualifying letter, they will qualify as an NC Pre-K teacher Assistant for the 2023-2024 program year. If a Teacher Assistant has less than 9 EC credit hours on their qualifying letter, they must enroll in approved EC courses and complete 9 EC credit hours by the end of the 2023-2024 program year. These courses must be completed by the spring of 2024 in order to count for the 2023-2024 program year. If a Teacher Assistant does not meet the aforementioned flexibilities, nor do they currently hold a CDA nor hold or are working towards an Associate Degree, they must enroll in CDA courses immediately in order to qualify as an NC Pre-K Teacher Assistant for the 2023-2024 school year. CDA must be completed by the end of the 2023-2024 program year. Teacher Assistants that do not meet the requirements of rule .3013 will not be approved to serve in the 2024-2025 school year. - Update the menu when changes occur. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times